| NPI | 1427611201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR PG193736) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR 206108) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-05-17 |